| 颅脑术后创腔张力性积液的诊治分析 |
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| 引用本文： | 张立成,李毅平,任德涛.颅脑术后创腔张力性积液的诊治分析[J].中国临床神经外科杂志,2022,27(10):825-827831. |
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| 作者姓名： | 张立成 李毅平 任德涛 |
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| 作者单位： | 130000长春，吉林大学第一医院神经外科（张立成、李毅平、任德涛） |
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| 摘 要： | 目的 探讨颅脑术后创腔张力性积液的临床特点、治疗方法及预后。方法 回顾性分析2019年8月至2021年10月收治的10例颅脑术后创腔张力性积液的临床资料。结果 10例中，星形细胞瘤5例，胶质母细胞瘤2例，中枢神经细胞瘤1例，转移性肺癌1例，脑脓肿1例。3例行开颅积液清除术，7例行钻孔引流术。10例术后症状明显改善。出院时GOS评分5分6例，4分2例，3分2例。术后随访3个月，创腔完全消失3例，缩小失去张力7例。结论 创腔张力性积液是颅脑术后少见的并发症，以脑肿瘤术后多见；一旦发现创腔张力性积液，及时行钻孔引流术，可取得较好的预后。
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| 关 键 词： | 颅脑手术 创腔张力性积液 钻孔引流术 疗效 |
Diagnosis and treatment of space-occupying cysts in the resection cavity after craniotomy: report of 10 cases |
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| ZHANG Li-cheng,LI Yi-ping,REN De-tao.Diagnosis and treatment of space-occupying cysts in the resection cavity after craniotomy: report of 10 cases[J].Chinese Journal of Clinical Neurosurgery,2022,27(10):825-827831. |
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| Authors: | ZHANG Li-cheng LI Yi-ping REN De-tao |
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| Affiliation: | Department of Neurosurgery, The First Affiliated Hospital of Jilin University, Changchun 130000, China |
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| Abstract: | Objective To discuss the clinical manifestations, and treatment methodss and outcomes of the patients with space-occupying cysts in the resection cavity after craniotomy. Methods The clinical data of 10 patients who developed space-occupying cysts in the resection cavity after craniotomy from August 2019 to October 2021 were analyzed retrospectively. Results The pathological results showed astrocytoma in 5 patients, glioblastoma in 2, central neurocytoma in 1, metastatic lung cancer in 1 and brain abscess in 1. Three patients underwent craniotomy, and 7 patients were treated with burr-hole drainage. All the symptoms were improved after operation. GOS score of 5 was achieved in 6 patients, score of 4 in 2, score of 3 in 2 on discharge. CT or MRI images 3 months after operation showed that the cysts disappeared completely in 3 patients, and the cysts were reduced without tension in 7 patients. Conclusions Space-occupying cyst in the resection cavity is a rare complication after craniotomy, especially in the patients with brain tumor. Once space-occupying cysts is developed, the burr-hole drainage is recommended, which can relieve symptoms and improve patients' outcomes. |
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| Keywords: | Space-occupying cysts Craniotomy Burr-hole drainage Outcmoes |
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